|
ECH PP HA SZ 19 190MM +15 CAL
|
Facility
|
IP
|
$31,108.81
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,332.64 |
| Max. Negotiated Rate |
$29,864.46 |
| Rate for Payer: Aetna Commercial |
$23,953.78
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$24,264.87
|
| Rate for Payer: Cash Price |
$15,554.41
|
| Rate for Payer: Cigna Commercial |
$25,820.31
|
| Rate for Payer: First Health Commercial |
$29,553.37
|
| Rate for Payer: Humana Commercial |
$26,442.49
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$25,509.22
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,958.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,332.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$27,375.75
|
| Rate for Payer: Ohio Health Group HMO |
$23,331.61
|
| Rate for Payer: Ohio Health Group PPO Differential |
$24,887.05
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$27,064.66
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$21,465.08
|
| Rate for Payer: PHCS Commercial |
$29,864.46
|
| Rate for Payer: United Healthcare All Payer |
$27,375.75
|
|
|
ECH PP HA SZ 20 190MM +15 CAL
|
Facility
|
IP
|
$31,108.81
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,332.64 |
| Max. Negotiated Rate |
$29,864.46 |
| Rate for Payer: Aetna Commercial |
$23,953.78
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$24,264.87
|
| Rate for Payer: Cash Price |
$15,554.41
|
| Rate for Payer: Cigna Commercial |
$25,820.31
|
| Rate for Payer: First Health Commercial |
$29,553.37
|
| Rate for Payer: Humana Commercial |
$26,442.49
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$25,509.22
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,958.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,332.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$27,375.75
|
| Rate for Payer: Ohio Health Group HMO |
$23,331.61
|
| Rate for Payer: Ohio Health Group PPO Differential |
$24,887.05
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$27,064.66
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$21,465.08
|
| Rate for Payer: PHCS Commercial |
$29,864.46
|
| Rate for Payer: United Healthcare All Payer |
$27,375.75
|
|
|
ECH PP HA SZ 20 190MM +15 CAL
|
Facility
|
OP
|
$31,108.81
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,332.64 |
| Max. Negotiated Rate |
$29,864.46 |
| Rate for Payer: Aetna Commercial |
$23,953.78
|
| Rate for Payer: Anthem Medicaid |
$10,698.32
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$24,264.87
|
| Rate for Payer: Cash Price |
$15,554.41
|
| Rate for Payer: Cigna Commercial |
$25,820.31
|
| Rate for Payer: First Health Commercial |
$29,553.37
|
| Rate for Payer: Humana Commercial |
$26,442.49
|
| Rate for Payer: Humana KY Medicaid |
$10,698.32
|
| Rate for Payer: Kentucky WC Medicaid |
$10,807.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$25,509.22
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,958.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,332.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$10,912.97
|
| Rate for Payer: Ohio Health Choice Commercial |
$27,375.75
|
| Rate for Payer: Ohio Health Group HMO |
$23,331.61
|
| Rate for Payer: Ohio Health Group PPO Differential |
$24,887.05
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$27,064.66
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$21,465.08
|
| Rate for Payer: PHCS Commercial |
$29,864.46
|
| Rate for Payer: United Healthcare All Payer |
$27,375.75
|
|
|
ECH PRI FEM COMP HO SZ 10
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM COMP HO SZ 10
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ12
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ12
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ13
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ13
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ14
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ14
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ15
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ15
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ16
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ16
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ17
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ17
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ18
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ18
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ19
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM HI OFS 12/14 SZ19
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM STDOFS 12/14 SZ 11
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM STDOFS 12/14 SZ 11
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM STDOFS 12/14 SZ 12
|
Facility
|
IP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
|
ECH PRI FEM STDOFS 12/14 SZ 12
|
Facility
|
OP
|
$25,788.88
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,736.66 |
| Max. Negotiated Rate |
$24,757.32 |
| Rate for Payer: Aetna Commercial |
$19,857.44
|
| Rate for Payer: Anthem Medicaid |
$8,868.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$20,115.33
|
| Rate for Payer: Cash Price |
$12,894.44
|
| Rate for Payer: Cigna Commercial |
$21,404.77
|
| Rate for Payer: First Health Commercial |
$24,499.44
|
| Rate for Payer: Humana Commercial |
$21,920.55
|
| Rate for Payer: Humana KY Medicaid |
$8,868.80
|
| Rate for Payer: Kentucky WC Medicaid |
$8,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$21,146.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$19,032.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,736.66
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,046.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,694.21
|
| Rate for Payer: Ohio Health Group HMO |
$19,341.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$20,631.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$22,436.33
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$17,794.33
|
| Rate for Payer: PHCS Commercial |
$24,757.32
|
| Rate for Payer: United Healthcare All Payer |
$22,694.21
|
|
